ATI testing level 2 proctored | Top-Rated 2025/2026 Exam
Review Guide: Premium Questions with Model Answers
The nurse should ensure the client elevates her legs in bed and wears antiembolic
stockings to help prevent venous insufficiency.
A nurse is assessing a client who is 1 day postoperative following open ileostomy
placement to treat an inflammatory bowel disorder. Which of the following findings is the
priority for the nurse to report to the provider?
The stool is a dark green liquid with a small amount of blood.
The ileostomy output is 1,000 mL for the past 24 hr.
The stoma is purple in color.
The output from the NG tube has decreased over the past 24 hr. - correct answer The
stoma is purple in color.
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding to report to the provider is the color of the stoma.
Stomas should be pink to bright red in color and shiny. A stoma that is pale bluish, dark
red-purplish, or black in color is not receiving adequate blood supply.
A nurse is developing a plan of care for a preschooler who has heart failure. Which of
the following interventions should the nurse include in the plan?
Assess and record the child's blood pressure every 6 to 8 hr.
Weigh the child once each week using the same scale.
,Place the child in a supine position for a minimum of 4 hr each day.
Offer small, frequent meals based on the child's endurance level. - correct answer
Offer small, frequent meals based on the child's endurance level.
The nurse should offer small, frequent meals based on the child's endurance level. The
child requires an increase in caloric intake, but often has a low energy level. The nurse
should choose times for meals when the child is most rested, and make sure those
meals are high in calories.
A nurse in an emergency department is caring for a client who has heat stroke. Which of
the following actions should the nurse take to treat this form of hyperthermia?
Apply ice packs to the client's axillae, neck, groin, and chest.
Administer aspirin to the client
Initially offer the client cool, oral fluids.
Continue cooling measures until the client's rectal temperature is 37.2º C (99º F). -
correct answer Apply ice packs to the client's axillae, neck, groin, and chest.
The nurse should recognize that treatment for heat stroke involves cooling the client's
core body temperature quickly. The nurse should apply ice to the client's axillae, neck,
groin, and chest while also spraying the client's body with tepid water.
A nurse is teaching a client who has asthma about medications to treat an acute asthma
attack. Which of the following medications should the nurse include in the teaching?
Fluticasone
Salmeterol
,Albuterol
Montelukast - correct answer Albuterol
Albuterol is a short-acting beta agonist that causes bronchodilation. The client should
use albuterol during asthma attacks and before engaging in activities that are likely to
cause an attack. The nurse should instruct the client to keep an albuterol inhaler with
him at all times.
A nurse is assessing a client who is postoperative following the placement of an
ileostomy due to complications of ulcerative colitis. In which of the following areas
should the nurse expect the ileostomy to be located? (You will find hot spots to select in
the artwork below. Select only the hot spot that corresponds to your answer.) - correct
answer The nurse should expect a client who is postoperative following the placement
of an ascending colostomy to have an ostomy located on the right side of the abdomen,
lateral to, and slightly above the umbilicus.
A nurse is assessing a school-age child who has diabetes mellitus and a blood glucose
level of 250 mg/dL. Which of the following findings should the nurse expect?
Hyperreflexia
Fruity breath odor
Sweating
Shallow respirations - correct answer Fruity breath odor
The nurse should expect a child who has a blood glucose level of 250 mg/dL to have a
fruity or acetone breath odor. Other manifestations include lethargy, thirst, and
confusion.
, A nurse is providing teaching to a client who has diabetes mellitus and a new
prescription for extended-release metformin. Which of the following client statements
indicates an understanding of the teaching?
"I will avoid drinking grapefruit juice."
"I will chew the medication if I can't swallow it whole."
"I will call the doctor if I have muscle pain in my back."
"I will take this medication on an empty stomach." - correct answer "I will call the doctor
if I have muscle pain in my back."
Metformin, a biguanide, can cause lactic acidosis, which is a life-threatening
complication manifesting as muscle aches, sleepiness, malaise, and hyperventilation. If
these manifestations develop, the client should stop taking the medication and notify the
provider immediately.
A nurse is teaching a client who has hypertension and a new prescription for atenolol.
Which of the following information should the nurse include in the teaching?
"If you miss a dose, you should take two doses the next morning."
"You should stop taking this medication immediately if you experience depression."
"You might experience an increased sensitivity to heat while taking this medication."
"You should contact your provider if your pulse rate drops below 60 per minute." -
correct answer "You should contact your provider if your pulse rate drops below 60 per
minute."
Review Guide: Premium Questions with Model Answers
The nurse should ensure the client elevates her legs in bed and wears antiembolic
stockings to help prevent venous insufficiency.
A nurse is assessing a client who is 1 day postoperative following open ileostomy
placement to treat an inflammatory bowel disorder. Which of the following findings is the
priority for the nurse to report to the provider?
The stool is a dark green liquid with a small amount of blood.
The ileostomy output is 1,000 mL for the past 24 hr.
The stoma is purple in color.
The output from the NG tube has decreased over the past 24 hr. - correct answer The
stoma is purple in color.
When using the urgent vs. nonurgent approach to client care, the nurse should
determine that the priority finding to report to the provider is the color of the stoma.
Stomas should be pink to bright red in color and shiny. A stoma that is pale bluish, dark
red-purplish, or black in color is not receiving adequate blood supply.
A nurse is developing a plan of care for a preschooler who has heart failure. Which of
the following interventions should the nurse include in the plan?
Assess and record the child's blood pressure every 6 to 8 hr.
Weigh the child once each week using the same scale.
,Place the child in a supine position for a minimum of 4 hr each day.
Offer small, frequent meals based on the child's endurance level. - correct answer
Offer small, frequent meals based on the child's endurance level.
The nurse should offer small, frequent meals based on the child's endurance level. The
child requires an increase in caloric intake, but often has a low energy level. The nurse
should choose times for meals when the child is most rested, and make sure those
meals are high in calories.
A nurse in an emergency department is caring for a client who has heat stroke. Which of
the following actions should the nurse take to treat this form of hyperthermia?
Apply ice packs to the client's axillae, neck, groin, and chest.
Administer aspirin to the client
Initially offer the client cool, oral fluids.
Continue cooling measures until the client's rectal temperature is 37.2º C (99º F). -
correct answer Apply ice packs to the client's axillae, neck, groin, and chest.
The nurse should recognize that treatment for heat stroke involves cooling the client's
core body temperature quickly. The nurse should apply ice to the client's axillae, neck,
groin, and chest while also spraying the client's body with tepid water.
A nurse is teaching a client who has asthma about medications to treat an acute asthma
attack. Which of the following medications should the nurse include in the teaching?
Fluticasone
Salmeterol
,Albuterol
Montelukast - correct answer Albuterol
Albuterol is a short-acting beta agonist that causes bronchodilation. The client should
use albuterol during asthma attacks and before engaging in activities that are likely to
cause an attack. The nurse should instruct the client to keep an albuterol inhaler with
him at all times.
A nurse is assessing a client who is postoperative following the placement of an
ileostomy due to complications of ulcerative colitis. In which of the following areas
should the nurse expect the ileostomy to be located? (You will find hot spots to select in
the artwork below. Select only the hot spot that corresponds to your answer.) - correct
answer The nurse should expect a client who is postoperative following the placement
of an ascending colostomy to have an ostomy located on the right side of the abdomen,
lateral to, and slightly above the umbilicus.
A nurse is assessing a school-age child who has diabetes mellitus and a blood glucose
level of 250 mg/dL. Which of the following findings should the nurse expect?
Hyperreflexia
Fruity breath odor
Sweating
Shallow respirations - correct answer Fruity breath odor
The nurse should expect a child who has a blood glucose level of 250 mg/dL to have a
fruity or acetone breath odor. Other manifestations include lethargy, thirst, and
confusion.
, A nurse is providing teaching to a client who has diabetes mellitus and a new
prescription for extended-release metformin. Which of the following client statements
indicates an understanding of the teaching?
"I will avoid drinking grapefruit juice."
"I will chew the medication if I can't swallow it whole."
"I will call the doctor if I have muscle pain in my back."
"I will take this medication on an empty stomach." - correct answer "I will call the doctor
if I have muscle pain in my back."
Metformin, a biguanide, can cause lactic acidosis, which is a life-threatening
complication manifesting as muscle aches, sleepiness, malaise, and hyperventilation. If
these manifestations develop, the client should stop taking the medication and notify the
provider immediately.
A nurse is teaching a client who has hypertension and a new prescription for atenolol.
Which of the following information should the nurse include in the teaching?
"If you miss a dose, you should take two doses the next morning."
"You should stop taking this medication immediately if you experience depression."
"You might experience an increased sensitivity to heat while taking this medication."
"You should contact your provider if your pulse rate drops below 60 per minute." -
correct answer "You should contact your provider if your pulse rate drops below 60 per
minute."
